Individual
CONSTANTINE KOSMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30-16 30TH DRIVE, ASTORIA, NY 11102
(718) 545-2250
(718) 545-2252
Mailing address
3074 31ST ST, 5TH FLOOR, ASTORIA, NY 11102-1857
(718) 808-7700
(718) 808-7706
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
198677
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02089967
—
NY
Enumeration date
07/18/2005
Last updated
12/13/2012
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